Individual
BROOKE LUCIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3525 ENSIGN RD NE STE O-2, OLYMPIA, WA 98506-5065
(360) 459-2771
Mailing address
8823 MARTIN WAY E APT 301, LACEY, WA 98516-6809
(864) 417-3528
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
61313204
WA
Other
Enumeration date
06/21/2022
Last updated
02/01/2023
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